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Alexander was the first Bishop of Cappadocia and was afterwards associated as coadjutor with the Bishop of Jerusalem, Saint Narcissus, who was, at that time, very old. Alexander had been imprisoned for his faith in the time of Roman Emperor Alexander Severus. After his release, he came to Jerusalem, where the aged Bishop Narcissus prevailed on Alexander to remain and assist him in the government of that see.[2]

It was Alexander who permitted Origen, although only a layman, to speak in the churches. For this concession he was taken to task, but he defended himself by examples of other permissions of the same kind given even to Origen himself elsewhere, although then quite young. Alban Butler says that they had studied together in the great Christian school of Alexandria. Alexander ordained him a priest.[citation needed]

Alexander is praised for the library he built at Jerusalem. Though at his time Jerusalem was officially known as Aelia Capitolina, the name used by the Roman authorities since the city was rebuilt by the Emperor Hadrian, Christian tradition persisted in using the original name.[citation needed]

Finally, in spite of his years, he, with several other bishops, was carried off a prisoner to Caesarea, and as the historians say, "The glory of his white hairs and great sanctity formed a double crown for him in captivity".[3] His vita states that he suffered many tortures, but survived them all. When the wild beasts were brought to devour him, some licked his feet, and others their impress on the sand of the arena. Worn out by his sufferings, he died in prison. This was in the year 251.